If you have moderate to severe scoliosis we can help!

We have successfully treated thousands of patients world wide with moderate to advanced scoliosis patients. Many of whom were told their only options were bracing or even surgery.

To find out how we can help your moderate to advanced scoliosis, click the link below.

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Insurance Coverage – Scoliosis Treatment Program

You will need the following information:

Name of patient: ______________________________
Patient’s date of birth:____________________
Identification # (found on the insurance card):_________________
Insurance company phone number (usually found on the front of the insurance card)

Call Insurance Provider and ask the following questions:

Are my benefits for a calendar year or benefit year?

If benefit year, ask for the dates:____________________________________ 

(Example: 07/01/08 through 06/30/09)

Is there any pre-authorization required?

If so, who do I call? _____________________________________________

 

DoES my insurance cover:

1. Spinal Manipulation – Code 98941   Yes or No

 

What is the coverage:
Is there a maximum number of visits? If so, how many?_____

Is there a deductible? If so,how much?______

Has any of the deductible been met? _____
If there is a deductible, what percentage will the

company pay versus myself ______________
(Example: 80% company / 20% patient)


Is there an Out of Pocket maximum? If so, what?___________

After this amount, the company will usually pay at 100%

Or instead of a deductible is there a co-pay? If so, what? _______

Is there a maximum dollar amount that the company pays per year?
If so, what? ______

2. Therapy – Codes 97012, 97140, 97110

 

What is the coverage:
Is there a maximum number of visits? If so, how many?_____

Is there a deductible? If so,how much?______

Has any of the deductible been met? _____
If there is a deductible, what percentage will the

company pay versus myself ______________
(Example: 80% company / 20% patient)


Is there an Out of Pocket maximum? If so, what?___________

After this amount, the company will usually pay at 100%

Or instead of a deductible is there a co-pay? If so, what? _______

Is there a maximum dollar amount that the company pays per year?
If so, what? ______



3. Office visits – Codes 99203, 99213, 99214

 

What is the coverage:
Is there a maximum number of visits? If so, how many?_____

Is there a deductible? If so,how much?______

Has any of the deductible been met? _____
If there is a deductible, what percentage will the

company pay versus myself ______________
(Example: 80% company / 20% patient)


Is there an Out of Pocket maximum? If so, what?___________

After this amount, the company will usually pay at 100%

Or instead of a deductible is there a co-pay? If so, what? _______

Is there a maximum dollar amount that the company pays per year?
If so, what? ______


4. X-rays – Codes 72050, 72020, 72100, 72040

 

What is the coverage:
Is there a maximum number of visits? If so, how many?_____

Is there a deductible? If so,how much?______

Has any of the deductible been met? _____
If there is a deductible, what percentage will the

company pay versus myself ______________
(Example: 80% company / 20% patient)


Is there an Out of Pocket maximum? If so, what?___________

After this amount, the company will usually pay at 100%

Or instead of a deductible is there a co-pay? If so, what? _______

Is there a maximum dollar amount that the company pays per year?
If so, what? ______


5. Durable Medical Equipment – Codes A9300, E0190

 

What is the coverage:
Is there a maximum number of visits? If so, how many?_____

Is there a deductible? If so,how much?______

Has any of the deductible been met? _____
If there is a deductible, what percentage will the

company pay versus myself ______________
(Example: 80% company / 20% patient)


Is there an Out of Pocket maximum? If so, what?___________

After this amount, the company will usually pay at 100%

Or instead of a deductible is there a co-pay? If so, what? _______

Is there a maximum dollar amount that the company pays per year?
If so, what? ______


6. The patient will be having multiple treatments; 2-3 times per day
Will the company pay on the multiple treatments?

 

1 week Intensive Care

Available for patients with spinal curvatures 0-25º
98941 – 14 units
97012 – 40 units
97140 – 14 units
97110 – 36 units
99203 – 1 unit
99213 – 2 units
72040 – 1 unit
72050 – 1 unit
72020 – 2 units
72100 – 1 unit
72069 – 2 units

Equipment codes
A9300
E0190

2 week Intensive Care

Available for patients with spinal curvatures >25º 
98941 – 30 units
97012 – 74 units
97140 – 28 units
97110 – 76 units
99203 – 1 unit
99213 – 2 units
72050 – 1 unit
72020 – 3 units
72100 – 1 unit
72069 – 2 units
72040 – 2 units

Equipment codes
A9300
E0190
99070 (scoliosis traction chair)

42 visit Expanded Care

Available for patients
with any amount of
spinal curvature
98941 – 42 units
97012 – 42 units
97140 – 42 units
97110 – 84 units
99203 – 1 unit
99213 – 3 units
72050 – 1 unit
72020 – 3 units
72100 – 1 unit
72069 – 2 units
72040 – 2 units

Equipment codes
A9300
E0190
 
ESSI Treatment Costs
Everyone agrees that the most effective treatment is the best value when it comes to healthcare, but financial realities must always be considered when making a treatment choice.  Both early stage scoliosis intervention locations (Lancaster Spinal Health Center and Posture and Spine Care Center) offer intensive care and expanded care treatment plans.  Due to the unique billing and structure of each scoliosis treatment plan, each individual facility must provide fees independently from each other.  Please contact the individual treatment center for a current fee schedule for that independently owned treatment center.

Intensive Care Scoliosis Treatment Costs

(Please see the Treatment plan section for treatment related details)

The progressive nature of the Intensive Care (IC) program creates unique challenges in terms of utilizing normal insurance billing procedures.  Because this approach is so new, some of these procedures are considered non-standardized or “experimental” by insurance companies.  In addition, the amount of time our staff will spend with you is far longer than that spent on standard chiropractic care.  As a result, our office has established a special payment plan for scoliosis patients.

The total cost of the intensive care program includes all X-rays, examinations, rehabilitation care, basic rehabilitation equipment, counseling and coordination of care, plus a summary report and future recommendations.  This amount must be paid in full upon arrival at the clinic.

While some insurance companies have an in network provider contract which provides for a reduction in scoliosis treatment fees, this reduction does not apply to intensive care scoliosis treatment.  Still, some of the costs of your treatment may be covered by your health insurance.  In this case, we will be happy to bill your insurance provider for your treatment and then forward to you any reimbursement we may receive.

This section also includes information on how to check your insurance benefits that will allow you to estimate the amount of insurance re-imbursement you may receive by providing you with the billing codes and the estimated quantities they will be used.


Extended Care Scoliosis Treatment Costs

(Please see the Treatment plan section for treatment related details)

The extended care program falls under the standardized or “non-experimental” treatment protocol and therefore is subject to the regular regulations of health insurance billing and coding.  The patient is responsible for all co-pays, deductibles, and non-covered basic rehabilitation equipment.  Monthly payment options may be agreed upon by each treatment center individually.



CARE CREDIT

Patient Payment plan available.  Please contact each clinic individually for details.